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Search Results for MOC
Abstract Number: 990
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 63-year-old man with significant history of deceased donor transplant (18 months prior to presentation), hypertension, diabetes mellitus, who presented with two weeks of fevers and malaise. His other symptoms included drenching night sweats, shortness of breath, and diffuse pleuritic chest pain, however he denied cough. A recent exposure was a renovation of […]
Abstract Number: C27
SHM Converge 2022
Case Presentation: A 32 year old male presented to the emergency department unresponsive. Three months prior he had developed urinary incontinence, cognitive impairments, paresthesias in his extremities and weakness requiring crutches. His symptoms progressed leaving him bed bound weeks prior to arrival. EMS was contacted when he became unresponsive to verbal-noxious stimuli and exhibited difficulty […]
Abstract Number: F33
SHM Converge 2022
Case Presentation: 71-year-old female with history of DM2, HTN, breast carcinoma in situ status post mastectomy, B-cell lymphoma (R-CHOP in 2016 & RT, currently in remission), autoimmune hepatitis related cirrhosis on Azathioprine presented to the hospital with a 4-day history of progressively worsening productive cough, mild hemoptysis, fever and shortness of breath. In the Emergency […]
Abstract Number: J39
SHM Converge 2022
Case Presentation: A 49-year-old vegetarian male (on supplements with vitamin B12) with recent myocardial infarction (MI) presented with 8-months of worsening neurological symptoms beginning as paresthesias progressing to cognitive decline and gait instability. Physical exam was significant for poor recall, inability to perform basic calculations, impaired proprioception in the right lower extremity, sensory ataxia in […]
Abstract Number: L30
SHM Converge 2022
Case Presentation: A 64 year-old male with past medical history of prostate adenocarcinoma, hypertension, gout, GERD, and alcohol abuse presented to the hospital with jaundice for seven days. Past surgical history was notable for cholecystectomy. Patient was currently on radiation therapy and set to initiate chemotherapy later. A course of Bicalutamide and Augmentin were recently […]
Abstract Number: M26
SHM Converge 2022
Case Presentation: A 68-year-old man with a history of cryptogenic cirrhosis and hepatocellular carcinoma status post liver transplant with donor positive for cytomegalovirus (CMV), and recent treated CMV reactivation, was transferred from a nearby hospital with acute hypoxic respiratory failure requiring intubation secondary to Pneumocystis jirovecii pneumonia (PJP) identified on bronchoalveolar lavage. He was treated […]
Abstract Number: O20
SHM Converge 2022
Background: Continuing medical education (CME) sessions that teach the principles of root cause analysis (RCA) and offer CME credit to attendees are already widely available (1.) However, to our knowledge, no institutions offer physicians CME credit for participation in actual RCAs that are conducted to investigate real adverse events. A 2015 review recommended increasing the […]
Abstract Number: 1001
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 50-year-old female was admitted with shortness of breath, cough and fevers. Her past medical history was significant for breast cancer undergoing active neoadjuvant chemotherapy with doxorubicin and cyclophosphamide. She was hypoxic requiring 2L of oxygen via nasal cannula and febrile to 39.0°C. Labs revealed a WBC of 12.0 x 109/L (4.5-11.0 x […]
Abstract Number: 1168
Hospital Medicine 2020, Virtual Competition
Case Presentation: We present a case of a 41-year-old female with a history of hypertension and anxiety who presented with severe headache, palpitations, and nausea for 1 day. Suspecting it to be a case of migraine, she was given diphenhydramine, ketorolac, and metoclopramide. Immediately after receiving metoclopramide she experienced a tonic-clonic seizure and became tachycardic. […]
Abstract Number: 1234
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 56-year-old female presented to the ED complaining of epigastric abdominal pain for 5 days. Her past medical history was pertinent for a prior left upper extremity DVT. Her family history was positive for Factor V Leiden deficiency, for which she previously tested negative. She denied any pain radiation, nausea, vomiting, or change […]